LTCR HCS Nurse Investigator

Health & Human Services Comm; Houston (TX); On-site; USD 83,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Career advancement

Job summary

Health & Human Services Comm in Houston, TX, seeks an RN Investigator VI to perform on-site surveys, investigations, and regulatory compliance checks for Home and Community-based Services (HCS) and Texas Home Living (TxHmL). The role involves travel across the state and occasional on-call duties.

The ideal candidate is a licensed RN with strong investigative and reporting skills, able to interpret policies and collaborate with program management to ensure provider compliance and safety.

Qualifications

• Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
• Two years of experience providing services in a health care setting as a Registered Nurse.

Responsibilities

• Conduct on-site residential surveys and investigations of Home and Community-based Services (HCS) and TxHmL Medicaid providers to assess compliance with state and federal laws and rules.
• Investigate abuse, neglect, and exploitation; document findings with detailed written reports.
• Travel statewide to different providers within a region and across the state; provide on-call coverage for emergencies.

Skills

RN licensure

Investigation skills

Regulatory knowledge

Travel willingness

Education

Licensed RN - TX

Job description

Posting ID21983-Posted10/05/2026-Health & Human Services Comm-CCL Residential HM Ops-Protective Services-d. $7000 - $8999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage .

Functional Title:LTCR HCS Nurse Investigator
Job Title:Investigator VI
Agency:Health & Human Services Comm
Department:CCL Residential HM Ops
Posting Number:21983
Closing Date:12/04/2026
Posting Audience:Internal and External
Occupational Category:Protective Services
Salary Range:$7,474.23-$8,886.16
Pay Frequency: Monthly
Salary Group:TEXAS-B-24
Shift:Day
Additional Shift:None
Telework:
Travel:
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility Location:
Job Location City:HOUSTON
Job Location Address:9460 HARWIN
Other Locations:None
MOS Codes: 5805,5813,5819,5821,5822,7596,8012,14N,14NX,183X,1D7X1,1N0X1,1S0X1,250X,311A,31A,31B,31D,31PX,351L
351M,35A,35L,35M,3E7X1,3P0X1,43HX,4B0X1,4E0X1,5I0,649X,683X,71SX,749X,783X,89D,89E,EOD,INV,IS,IV,LN
MA,ME,MLES,MSSD,MSSE,MSSR,MST,OAP12,OAP14

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

HCS Nurse Investigator – Starting Market Rate Salary $ 89,690.71

As part of a collaborative team of public servants, an Investigator VI protects individuals’ health and safety by conducting on-site residential surveys, monitoring, and investigations of the Home and Community-based Services (HCS) and Texas Home Living (TxHmL) Medicaid program providers to assess their compliance with state and federal laws and rules. These include investigations into allegations of abuse, neglect, and exploitation. The RN Investigator will also investigate medication administration issues. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different providers within a region and across the state – Please see the Additional Information section below for more detail on travel. In this front-line field position, a RN Investigator is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing deficiencies/violations against a provider, remedies to correct those deficiencies, and narrative to support regulatory determinations. See below for additional professional requirements.

Under the direction of a program manager, an Investigator conducts on-site inspections, complaint and incident investigations, and comprehensive surveys to determine provider compliance with federal and state health and safety regulations. This includes the investigation on abuse, neglect, and exploitation allegations.

Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints regarding services provided in the Home and Community-based Services and Texas Home Living Medicaid waiver programs, both of which serve individuals with intellectual and developmental disabilities and must receive specialized services that meet their needs.

Conducts exit conferences with program provider staff regarding findings. Completes inspection or survey reports detailing deficiencies, recommended remedies, and narrative to support regulatory findings.

Visits HCS program providers to verify correction of previously cited regulatory violations. Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, reports.

Develops and implements training for field investigators.

Participates as a member of other teams within HHSC Long-term Care Regulation, including enforcement and quality assurance.

In the event of emergency contract action, be available to provide oversight and communication to other entities to ensure the well‑being of individuals.

Be available for on-call duties for emergencies such as weather events or high-priority situations at providers.

Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities.

Knowledge, Skills, and Abilities (KSAs):

Knowledge, ability, and skill in conducting high-level investigations.

Knowledge of issues, concerns, and needs of populations at risk in various health care environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.).

Knowledge of nursing principles and acceptable professional standards of patient care.

Skilled in conducting investigations to verify regulatory compliance.

Skill in interpersonal relations.

Skill in performing quality assurance monitoring, program review, certification, survey, or investigations.

Skill in providing guidance, policy clarifications, and information to others.

Skill in preparing detailed written reports.

Skill in oral, written, and electronic communications, including computer word processing software.

Ability to interpret and apply policies, procedures, and regulations.

Ability to work independently and make appropriate decisions and regulation‑based recommendations.

Ability to operate personal computer‑based programs and complete data entry and technically correct, error‑free reports.

Ability to multi‑task and track multiple activities with competing priorities.

Ability to complete a high‑volume, deadline‑driven workload.

Ability to exercise professional judgment and reach sound decisions.

Ability to use the computer for writing reports.

Ability to integrate complex regulatory concepts, procedures, and processes.

Ability to communicate effectively both orally and in writing.

Ability to effectively present information to executive‑level management.

Registrations, Licensure Requirements or Certifications:

Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact .

Valid driver’s license.

Initial Screening Criteria:

Experience in assessment and documentation of health status.

Two years of experience providing services in a health care setting as a Registered Nurse.

Experience working with individuals with mental illness, intellectual or developmental disabilities, or physical disabilities preferred.

Additional Information:

Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On‑call duties for emergencies or high‑priority situations in facilities or at providers may be required. Must have reliable transportation.

Note: This position is able to work a compressed workweek of four 10‑hour days.

All applicants must pass a fingerprint criminal background check.

If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed.

If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions .

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on‑line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work.

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.